This document discusses the risks of vaginal birth after cesarean (VBAC) to patients, providers, and the public. It provides a history of VBAC rates in the US from the 1970s-2000s as standards of care shifted. While VBAC can have benefits like lower morbidity rates, it also carries risks like uterine rupture. The document examines evidence on risks and benefits but notes limitations. It concludes that VBAC decisions require balancing risks while supporting informed patient choice when possible.